Nicole Deshea Boyle

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4903 Issued in LA

Practice address

10742 Oakline Dr
Baton Rouge, LA 70809-3317

Phone

(225) 635-2448

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1083940548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 MCCULLOUGH RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707918712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10742 OAKLINE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093317",
            "telephone_number": "225-635-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "NICOLE",
        "middle_name": "DESHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A4903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Adcock Boyd, OTR/L
• Shanquesta L Boyd
• Starolette Boyd, MASTER SERGANT
• Taelyn Dilan Boyd
• Andrew Boyer, M.D.
• Courtney Colette Bozant, FNP-C
• Diana Bozner, DDS
• BPC Holdings Corp (At Home Care of Louisiana)
• BR Acupuncture Wellness LLC
• Daron V Brabham, CRNA

• Physical Therapy Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapy Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.